Body Mass Index and Cancer Screening in Older American Indian and Alaska Native Men

Muus, Kyle J.; Baker-Demaray, Twyla; McDonald, Leander; Ludtke, Richard L.; Allery, Alan J.; Bogart, T. Andy; Goldberg, Jack; Ramsey, Scott D.; Buchwald, Dedra

doi:10.1111/j.1748-0361.2009.00206.x

Cited by 8 publications

(8 citation statements)

References 18 publications

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“…All other studies were regional, state-based, or local. Three studies included white subjects predominantly (29, 30, 41), two studies included only black subjects (33, 39), a single study included only Latino subjects (43), and another study included only Native American men (38). All other studies (N=16) were multi-ethnic.…”

Section: Resultsmentioning

confidence: 99%

“…All studies reported BMI as the measure of adiposity. Two studies used fecal occult blood testing as the sole component of their screening definition (33, 38); the remainder included sigmoidoscopy or colonoscopy or both.…”

Section: Resultsmentioning

confidence: 99%

“…One study included subjects aged 41–49 years in analyses of colon cancer screening (39). Two studies did not specify the BMI categories clearly (35, 38), and two studies did not specify the colon cancer screening definition clearly (27, 33). Fifteen studies did not report on missing data for the BMI-screening analyses (13, 15, 27, 29, 31, 32, 34–40, 42, 44), and five reported <10% missing data (17, 28, 33, 41, 43).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies reported ≥10% missing data and did not address this issue in the analyses (18, 30). Twenty studies described all covariates completely, and two described most covariates (29, 38). The description of statistical methods was adequate (n=20) or fair (n=2) (38, 40) for all studies.…”

Section: Resultsmentioning

confidence: 99%

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Body Mass Index and Colon Cancer Screening: A Systematic Review and Meta-Analysis

Maruthur

Bolen

Gudzune

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background Obesity is associated with increased colon cancer mortality and lower rates of mammography and Pap testing. Methods We conducted a systematic review to determine if obesity is associated with lower rates of colon cancer screening. We searched the PubMed, CINAHL, and Cochrane Library databases. Two investigators reviewed citations, abstracts, and articles independently. Two investigators abstracted study information sequentially and evaluated quality independently using standardized forms. We included all studies in our qualitative syntheses. We used random effects meta-analyses to combine those studies providing screening results by the following BMI categories: Normal, 18.5–24.9 kg/m2 (reference); overweight, 25–29.9 kg/m2; class I obesity, 30–34.9 kg/m2; class II obesity, 35–39.9 kg/m2; and class III obesity, ≥ 40 kg/ m2. Results Of 5,543 citations, we included 23 articles. Almost all studies were cross-sectional and ascertained BMI and screening through self report. BMI was not associated with colon cancer screening overall. The subgroup of obese white women reported lower rates of colon cancer screening compared to those with a normal BMI with combined odds ratios (95% CI) of 0.87 (0.82 to 0.93), 0.80 (0.65 to 0.99), and 0.73 (0.54 to 0.94) for class I, II, and III obesity, respectively. Results were similar among white men with class II obesity. Conclusions Overall, BMI was not associated with colon cancer screening. Obese white men and women may be less likely to undergo colon cancer screening compared to those with a normal BMI. Impact Further investigation of this disparity may reduce the risk of obesity-related colon cancer death.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Body Mass Index and Colon Cancer Screening: A Systematic Review and Meta-Analysis

Maruthur

Bolen

Gudzune

et al. 2012

Cancer Epidemiology, Biomarkers &Amp; Prevention

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“…Sixteen studies were identified that examined the relationship of obesity and colorectal cancer (CRC) screening [22, 24, 32–43, 48, 49], but only six studies stratified the obesity-cancer screening relationship by gender [35, 36, 39, 40, 42, 43]. In men, the relationship between obesity and CRC screening was inconsistent.…”

Section: Resultsmentioning

confidence: 99%

Obesity and Cancer Screening according to Race and Gender

et al. 2011

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The relationship between obesity and cancer screening varies by screening test, race, and gender. Most studies on cervical cancer screening found a negative association between increasing weight and screening, and this negative association was most consistent in white women. Recent literature on mammography reports no association with weight. However, some studies show a negative association in white, but not black, women. In contrast, obese/overweight men reported higher rates of prostate-specific antigen (PSA) testing. Comparison of prostate cancer screening, mammography, and Pap smears implies a gender difference in the relationship between screening behavior and weight. In colorectal cancer (CRC) screening, the relationship between weight and screening in men is inconsistent, while there is a trend towards lower CRC screening in higher weight women.

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Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization

et al. 2023

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Although strategies to mitigate barriers to colorectal cancer (CRC) screening have proven successful in some parts of the US, few of these strategies have been studied in rural, American Indian communities that may exhibit unique culturally driven attitudes toward and knowledge of colorectal cancer and experience increased barriers to healthcare access. In this study, we describe the results of a survey among CRC screen-eligible members of Zuni Pueblo (N = 218) on an array of questions regarding CRC screening behaviors, knowledge, satisfaction with and access to healthcare services, social support for CRC screening, perceptions toward FOBT, and preference for evidence-based interventions or strategies for improving CRC screening rates. Results from the multivariable model suggest age, having a regular healthcare provider, and harboring fewer negative perceptions toward FOBT are key drivers of ever completing CRC screening. Respondents reported strong support for Community Guide-recommended interventions and strategies for increasing CRC screening for nearly all proposed interventions. Results confirm the need for multilevel, multicomponent interventions, with a particular focus on improving Zuni Pueblo community members’ access to a regular source of care, improving knowledge of CRC risk factor, and addressing negative perceptions toward CRC screening. These results provide critical, community-specific insight into better understanding the drivers of low guideline-adherent screening rates and inform local healthcare providers and community leaders of context-specific strategies to improve CRC screening in Zuni Pueblo. Supplementary Information The online version contains supplementary material available at 10.1007/s10900-023-01196-7.

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Body Mass Index and Cancer Screening in Older American Indian and Alaska Native Men

Cited by 8 publications

References 18 publications

Body Mass Index and Colon Cancer Screening: A Systematic Review and Meta-Analysis

Body Mass Index and Colon Cancer Screening: A Systematic Review and Meta-Analysis

Obesity and Cancer Screening according to Race and Gender

Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization

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